How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $114.82 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | TC · Technical part | $85.11 | $91.20 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $95.50 | $151.36 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $28.18 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $123.03 | $134.90 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $190.55 | Facility | None | $70.79 | $190.55 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $1,000.00 | Professional | None (both parts) | $120.23 | $229.09 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $281.84 | Professional | 26 · Professional part | $42.66 | $100.00 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $74.13 | $218.78 | $724.44 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $61.66 | $144.54 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $50.12 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $64.57 | $107.15 | $218.78 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
Where Oklahoma sits
The same service costs 5.2 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 23rd of 51
$151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.